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Congratulations! You have just purchased a quality POWERLINE product.You must fill out this Warranty
Registration Card completely, and return it to POWERLINE within 10 days of purchase for this warranty to be valid.
KEEP THIS HALF FOR YOUR RECORDS
POWERLINE
—Warranty is not applicable outside the United States—
Before returning a product you must call POWERLINE at 1-800-556-3113 to obtain a Return Authorization Number.
No returns will be accepted without the Return Authorization Number. Original purchaser must pre-pay all freight charges on warranty claims.
POWERLINE will not accept Freight Collect shipments or return shipments on a freight collect basis.
First Name Initial
Last Name
Street Apt. No.
State
City Zip Code
Phone
Country
ITEM NO.
DATE OF
PURCHASE
Where did you purchase this
product from?
1.
Age of product user?
Under 24
Over 65
45-54
25-34 55-64
35-44
3.
Who will use this product?
% Male
% Female
2.
TV
Other
Print ad / Flyer
Friend
In Store Display
Radio
5.
Salesperson
Household Income?
Under $15,000
$60,000 - $75,000
$45,000 - $60,000
$30,000 - $45,000
$15,000 - $30,000
4.
Why did you choose our
product?
Quality
Warranty
Price / Value
Brand Name
Appearance / Style
Features
6.
Design / Function
Other
Catalog
$75,000 Plus
ITEM
NAME
How did you learn of this
product?
Signature
#00223